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경유가격(輕油價格)과 물류투자(物流投資)의 관계(關係)에 대한 연구(硏究)
김인제,조성봉,김상현,Kim, In-Je,Jo, Seong-Bong,Kim, Sang-Hyeon 한국자원경제학회 1996 資源經濟學會誌 Vol.6 No.1
본 논문에서는 경유가격에 의한 시장왜곡의 한 측면으로서 우리나라 기업의 물류 투자가 상대적으로 낮게 이루어지고 있음을 지적하고자 한다. 낮은 경유가격으로 상품의 원가는 당분간 낮게 유지될 수 있었을지 모르나 결국 물류투자의 수준을 낮추어 물류설비 수준을 적정이하로 만든 요인이 되며, 이는 다시 물류비용을 증가시키고 결국 원가상승(原價上昇) 요인으로 작용하여 국제경쟁력에 미치는 종합적 효과는 불분명하다고 할 수 있는 것이다. 이러한 문제점은 비단 경유가격에만 한정되는 것이 아니라 산업용 전력요금 등 여타의 경우에도 적용된다. 산업의 경쟁력과 물가안정을 위해서 특정재화의 가격을 낮게 유지하는 것은 결국 가격구조를 왜곡하게 되고 다른 부수적인 문제점을 수반하게 되어 적정수준이 아닌 자원배분(資源配分)을 일으키게 된다. 따라서 산업정책(産業政策)의 일환으로 추진되어온 경유에 대한 가격규제는 보다 합리적인 자원배분(資源配分)을 위하고 장기적인 산업경쟁력(産業競爭力)을 고려하여 신중히 재검토되어야 할 것이다.
지방분권형 주거복지정책에 관한 소속기관별, 지역별 인식 차이
김인제(In-Je Kim),김지은(Jieun Kim) 한국주택학회 2020 주택연구 Vol.28 No.3
중앙권한의 획기적 지방이양을 강조하는 정책 기조와 주거여건의 지역별 차별화에 따라주거복지정책의 분권화에 관한 관심이 커지고 있다. 이 연구는 주거복지정책의 현황과 분권화 필요성에 대한 소속기관별, 지역별 인식 차이의 양상과 원인을 분석함으로써 지방분권형 주거복지정책 추진에서의 시사점을 제시하고자 하였다. 실증분석에는 전국 226개 시ㆍ군ㆍ구의 주거복지 분야 공무원, 주거복지 전문가, 공기업 직원을 대상으로 한 설문조사결과를 활용하였다. 분석결과 지방분권형 주거복지정책의 필요성에 대해 광범위한 공감대가 형성되어 있는 것으로 나타났다. 특히 수도권 지방자치단체와 전문가는 기존의 주거복지정책에 지역의 의견이 잘 반영되지 않았다는 인식이 강했다. 이에 대해 비수도권 지방자치단체는 수도권과 상반된 인식을 가진 것으로 나타났다. 정부의 공공주택정책 대응 경험이 많을수록, 지역의 주거복지 수요가 높을수록 중앙정부 주도의 정책에 문제의식을 강하게 느끼는 것으로 해석할 수 있다. 소속기관이나 지역과 관계없이 공공임대주택의 공급량과 입지가 지역 여건을 적절히 반영하지 못하고 있다는 인식이 공유되고 있음에 주목하여지역맞춤형 공공임대주택 확대를 지방분권형 주거복지정책의 우선순위로 채택할 필요가있을 것이다. 주거복지정책의 분권화를 위해 가장 시급한 해결과제는 지방자치단체의 열악한 재정과 조직 및 인력 문제라는 인식이 지배적이었다. 주거복지정책의 분권화는 이와같은 다양한 인식 차이의 이면에 존재하는 문제들을 함께 발견하고 풀어가는 과정이 될것이다. The decentralization of housing policy is drawing considerable attention because of the regional differentiation of residential conditions. This study aims to identify potential challenges to the decentralization of housing policy by analyzing how key stakeholders and various local governments perceive differently the current status of housing policy and the prospect of decentralization. To collect empirical data, we conducted an online survey of local government officials, housing welfare experts and employees of public housing corporations. We found that there is a broad consensus on the need for a decentralized housing policy. In particular, local governments in the Seoul Metropolitan Area and experts are strongly aware that local opinions are not well reflected under the centralized housing policy system. Other local governments are found to have a contrary opinion. It seems that the more experience there is in dealing with the central government housing initiatives, the stronger the discontent with the centralized housing policy becomes. It should be noted that there is a broad consensus that the availability and location of public rental housing do not properly accommodate local needs under the current system. To make meaningful progress, majority of the survey respondents think that, above all, local governments’ poor financial and organizational conditions have to be resolved. The decentralization of housing policy would be a process of discovering and resolving issues that exist behind the differences in perception among various stakeholders.
베체트병 환자에서 발견된 복부 대동맥 가성동맥류와 혈관 내 스텐트 이식편 치료의 예
손경민 ( Kyung Min Son ),김인제 ( In Je Kim ),김현아 ( Hyun Ah Kim ),전의용 ( Eui Yong Jeon ),서영일 ( Young Il Seo ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.1
Behcet`s disease is a chronic inflammatory disease of an unknown etiology, and it is characterized by recurrent oral and genital ulcerations, eye lesions skin lesions, and other involvement such as gastrointestinal ulcerations and lesions of the central nervous system and major vessels. The vascular lesions include deep vein thrombosis, superficial thrombophlebitis, arterial aneurysm and arterial occlusion. Aortic aneurysm or pseudoaneurysm is a rare complication, but it is one of the most common causes of death in Behcet`s disease. We report here on a case of a 43 year old female with Behcet`s disease that was complicated by an abdominal aortic pseudoaneurysm, and this was all successfully treated with percutaneous endovascular stent graft insertion, steroid pulse therapy and azathioprine.
TNF-α 길항제가 적응이 되는 류마티스관절염 환자들의 임상양상
손경민 ( Kyeong Min Son ),정영옥 ( Young Ok Jung ),김인제 ( In Je Kim ),김범준 ( Bum Jun Kim ),이성연 ( Seung Yun Lee ),문소영 ( So Young Mun ),서영일 ( Young Il Seo ),김현아 ( Hyun Ah Kim ) 대한류마티스학회 2013 대한류마티스학회지 Vol.20 No.6
Objective. The aim of this study was to examine clinical characteristics of Korean rheumatoid arthritis (RA) patients with clinically indications for TNF-α blocker, and to compare their clinical parameters with the Korean National Health Insurance reimbursement criteria. Methods. Data were obtained from a registry of RA patients who visited rheumatology clinics of Hallym University affiliated hospitals. Among patients who were previously prescribed DMARDs for more than three months, rheumatologists selected patients clinically indicated for TNF-a blocker. The clinical characteristics at the time TNF-α blocker use was deemed indicated were examined. Radiographic damage was quantified by Modified Sharp van der Heijde score in hand and foot simple AP radiograph. Results. From August 2010 to January 2013, five rheumatologists in four hospitals selected 109 patients clinically indicated for TNF-α blocker. When TNF-α blocker was considered, mean DAS28 was 5.2 (range 2.1∼8.05), mean swollen joint count was 6 (range 0∼22), mean tender joint count was 10.6 (range 0∼28), mean ESR was 43.2 mm/hr (range 1∼140) and mean CRP was 2.5 mg/dL (range 0.1∼18.3). The mean total modified Sharp van der Heijde score was 32.72 (range 0∼240). Eighty one percent of subjects did not have enough active joints to satisfy the Korean National Health Insurance reimbursement standard. Conclusion. Our results show that patients with clinically indications for TNF-α blocker had a broad range of disease activity and clinical parameters, and the majority did not meet the Korean National Health Insurance reimbursement criteria
손경민 ( Kyeong Min Son ),서영일 ( Young Il Seo ),김인제 ( In Je Kim ),배영덕 ( Young Deok Bae ),정영옥 ( Young Ok Jung ),차명진 ( Myeong Jin Cha ),김현아 ( Hyun Ah Kim ) 대한류마티스학회 2010 대한류마티스학회지 Vol.17 No.2
Objective: Gout is crystal-induced arthritis with hyperuricemia. Uric acid lowering agent (UALA) is the maintenance drug of its treatment. Drug adherence is an important factor that influences treatment outcome. The purpose this study was to examine the drug adherence to UALA of 303 gouty patients and to analyze the factors associated with compliance. Methods: We retrospectively assessed adherence to UALA in 303 patients who visited three hospitals affiliated with Hallym University. Patients were diagnosed as gout and used UALA with at least 6 month follow-up. Two adherence measures were calculated, the percentage of days covered (PDC) and the time until an extended break (at least 60 days) in treatment. A PDC <70% was considered poor adherence and factors associated with poor adherence were examined. Results: Among the 303 patients, 283 (93.4%) were male. Mean age was 55.4±13.7 years. Comorbidities included hypertension in 117 (38.6%), diabetic mellitus in 108 (35.6%), angina in 107 (35.3%), myocardial infarction in 108 (35.6%), and heart failure in 113 (37.3%). The mean PDC was 65.8% with 63.4% of patients considered poorly compliant over the study period. Mean treatment duration before an extended break occurred was 203.5 days. Factors associated with good adherence included hypertension and prescription from rheumatologist. Conclusion: In our study, adherence to UALA in gouty patient was poor. Understanding the factors associated with adherence to UALA and proper education of gouty patients to improve drug adherence are needed.